Suzanne E Ivanisevic
ExpiredCalifornia license 181123
License
- Licensed by
- California Board of Registered Nursing
- License number
- 181123
- Status
- Expired (Delinquent)
- First issued
- January 1, 1967
- Expired
- May 31, 2005
- License holder
- Suzanne E Ivanisevic
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
61215 Esparta Ave St R 1 Box 644
White Water, CA 92282
White Water, CA 92282
Riverside County